Diffusion tensor tractography, motor, cognitive and behavior scales in a rehabilitation outcome following a pediatric traumatic brain injury: a case report

Case presentation: A 7-year-old boy who has been severely brain-injured in a car accident February 2016. Initially, Glasgow coma scale was 7. He needed decompressive craniectomy and ventriculoperitoneal shunt. At first, he tetraplegic, without ability for locomotion. His initial MRI including DW, CSD tractography spectroscopy showed frontal parietal hemorrhage, parenchymal contusions, areas of reduced levels Naa less fibers right corticospinal tract the corpus callous. We used Gross Motor Function Scales (GMFM; Functional skills: mobility, self-care social function (Pediatric Evaluation Disability Inventory- PEDI); Manual - PEGBOARD); Cognitive (Wechsler Intelligence Scale IV); Vineland Adaptative Behavior Scales-Second Edition (VINELAND-II), which evaluates communication, daily living skills, socialization motor skills. decided an internal intensive 8-week rehabilitation program with experienced transdisciplinary team, followed by external program, 3 times week.